A cross-sectional study on the prevalence of illness in coastal bathers compared to non-bathers in England and Wales: Findings from the Beach User Health Survey.

A cross-sectional study on the prevalence of illness in coastal bathers compared to non-bathers in England and Wales: Findings from the Beach User Health Survey.
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一项关于英格兰和威尔士沿海泳客与非泳客疾病患病率的横断面研究:海滩用户健康调查的结果。

DOI:
10.1016/j.watres.2020.115700
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发表时间:
2020
期刊:
影响因子:
12.8
通讯作者:
Leonard AFC
Leonard AFC
中科院分区:
环境科学与生态学1区
文献类型:
--
作者:
Leonard AFC

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自20世纪90年代初以来,在英国沿海沃茨洗澡的疾病风险一直没有得到量化。自那时以来,一直在努力提高洗澡沃茨的质量。这项研究的目的是量化英格兰和威尔士海水浴相关疾病症状的患病率。在2014年6月至2015年4月期间进行了一项横断面研究。一项在线调查收集了英格兰和威尔士沿着海水浴者和非海水浴者访问海滩时出现疾病症状的信息。2631人(1693名游泳者,938名非游泳者)回答了调查。与不洗澡的人相比,洗澡的人更容易报告皮肤病(调整后的患病率比值比(AOR)= 2.64,95%置信区间(CI)1.23至5.65,p = 0.01),耳部疾病(AOR = 3.77,95% CI 1.84至7.73,p < 0.001)和任何疾病症状(AOR = 3.73,95% CI 2.63至5.29,p < 0.001)。有微弱的证据表明,增加了胃肠道疾病的几率(AOR = 1.59,95% CI 0.96至2.65,p = 0.07)、呼吸系统疾病(AOR = 2.44,95% CI 0.92至6.48,p = 0.07)和眼部疾病(AOR = 2.12,95% CI 0.83至5.39,p = 0.11)。虽然研究设计不允许因果关系的推断,但我们确实观察到英格兰和威尔士的海水浴与报告的健康不良症状之间存在关联。这表明,尽管如今游泳沃茨的水质标准符合率较高,但游泳者相对于非游泳者的患病几率与20世纪90年代的估计相似。
The risks of illness associated with bathing in UK coastal waters have not been quantified since the early 1990s. Efforts have been made since then to improve the quality of bathing waters. The aim of this study was to quantify the prevalence of symptoms of illness associated with sea bathing in bathers in England and Wales. A cross-sectional study was conducted between June 2014 and April 2015. An online survey collected information from sea bathers and non-bathers on their visits to beaches in England and Wales along with the occurrence of symptoms of illness. 2631 people (1693 bathers, 938 non-bathers) responded to the survey. Compared to non-bathers, bathers were more likely to report skin ailments (adjusted prevalence odds ratio (AOR) = 2.64, 95% confidence interval (CI) 1.23 to 5.65, p = 0.01), ear ailments (AOR = 3.77, 95% CI 1.84 to 7.73, p < 0.001), and any symptoms of illness (AOR = 3.73, 95% CI 2.63 to 5.29, p < 0.001). There was weak evidence of an increase in the odds of gastrointestinal illness (AOR = 1.59, 95% CI 0.96 to 2.65, p = 0.07), respiratory ailments (AOR = 2.44, 95% CI 0.92 to 6.48, p = 0.07) and eye ailments (AOR = 2.12, 95% CI 0.83 to 5.39, p = 0.11). While the study design does not allow inference of causality, we do observe an association between sea bathing in England and Wales and reported symptoms of ill health. This suggests that despite higher rates of compliance with water quality criteria among bathing waters nowadays, the odds of illness for bathers relative to non-bathers is similar in magnitude to estimates made in the 1990s.
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